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伤口覆盖物“速即纱”在肝脏和胰腺外科手术中的应用

[Application of wound coat "Tachocomb" in surgical interventions on liver and pancreas].

作者信息

Skipenko O G, Shatverian G A, Movchun A A, Eramishantsev A K

出版信息

Khirurgiia (Mosk). 1998(1):11-4.

PMID:9511288
Abstract

From May 1994 to December 1996 the wound coat "Takhocomb" was used in surgical procedures in 23 patients with various diseases of the and the pancreas. "Takhocomb" was mostly applied in various anatomical resections of the liver. Initial hemostasis of the hepatic stump was carried out by careful suturing of bleeding vessels. "Takhocomb" was used in 3 patients during pancreatoduodenal resection for chronic pancreatitis, adenocarcinoma of papilla Vateri and adenocarcinoma of the pancreatic head. The application of the wound coat "Takhocomb" in various resections (12) an hepatic ruptures (2), as well as in echinococcectomies (3) and removal of hepatic hemangioma (1) contributed to favourable hemostatic effect in all the patients. In 2 cases formation of external biliary fistulas due to technical errors in liver resection was detected in postoperative period. The fluid accumulation at subhepatic space or at the bed of resected liver after rightsided liver resections was considered as the tissue fluid production frown retroperitoneal fat.

摘要

1994年5月至1996年12月,“Takhocomb”伤口敷料被用于23例患有各种肝胆和胰腺疾病患者的外科手术中。“Takhocomb”主要应用于肝脏的各种解剖性切除手术。肝残端的初始止血通过仔细缝合出血血管来进行。“Takhocomb”在3例因慢性胰腺炎、 Vater壶腹腺癌和胰头腺癌而行胰十二指肠切除术的患者中使用。“Takhocomb”伤口敷料在各种切除术(12例)、肝破裂(2例)、肝包虫切除术(3例)和肝血管瘤切除术(1例)中的应用,对所有患者都产生了良好的止血效果。术后发现2例因肝切除技术失误导致的外胆管瘘形成。右侧肝切除术后肝下间隙或切除肝脏床处的液体积聚被认为是腹膜后脂肪产生的组织液。

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